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HomeMy WebLinkAboutIPACHTE# �_s f�-$� Harnett County Department of Public Health 30050 Improvement Permit Authorized State Agent:: -ti Date: SEE ATTACHED SITE SKETCH The issuance of this permit by the Nealih Depar ment in na way guarantees s nco of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This The issuance of this permit by the heal ��Dpa, mi in site is subject to revo nation if the site plan, plat. or the intended use changes. The Ira anent Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of the laws and Rules for Sewage Treatment and Disposal and w conditions of this permit.. Construction Authorization (Required for Building Permit) The construction and installation requirements of Rules .1950, .1951, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accordance with the attached system layout. ISSUED TO: SG"SN MN9V5 PROPERTY LOCATION: WooTEal Lia, ,G SUBDIVISION LOT # Facility Type: 5Fo (Lajo X140 �X New ❑ Expansion ❑ Repair Basement? ❑ Yes 1< N$ Basement Fixtures? ❑ Yes ❑ No Type of Wastewater System— ` �Q T G 8 5�� e �],FovVs s n, S J3_ s i 6� (Initial) Wastewater Flow: r -O 0 GPD (See note below, if applicable ❑) Pig e{vQ~To as��. R6o S -Y 9 (Repair) Installation Requirements/Conditions Number of trenches S Septic Tank Size T 6o d gallons Exact length of each trench 45b feet Trench Spacing: cl Feet on Center Pump Tank Size 1 5 O gallons Trenches shall be installed on contour at a Soil Cover, e inches Maximum Trench Depth of: I'9 inches (Maximum soil cover shall not exceed (Trench bottoms shall be level to +/.I/4" 36' above the trench bottom) in all directions) Pump Requirements: ft. TDM vs. GPM inches below pipe Aggregate Depth: inches above pipe Conditions: inches total WATER LINES (INICLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA. NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. **If applicable: / understand the system type specified is different from the type spechfed on the app/ication. / accept the rpecii5cationr of th/r pefmit. Representative Signature: Date: This construction Authonz r �m to revocation if the site plan, plat, or the intended use changes. The construction Authorization shall not be transferred when there is a change in ownership of the site. This construction Authorization is subject to comp wi@.tAf provisions of the taws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Agent:Date: struction Authorization Expiration A building permit cannot be issued with only an Improvement Permit SelS V) PROPERTY LOCATION: 'TJ 4td-i w LsaN6 ISSUED T0: 's PQ05 SUBDIVISION LOT # NEW;' REPAIR ❑ EMP ON ❑ Site Improvements required prior to Construction Authorization Issuance: SFO Type Type of Structure: > LN 00� Proposed Wastewater System Type: ;u OV -T 0 5° r ova't e„zr:6M Projected Daily Flow: — "GPD Number of bedrooms•. Number of Occupants: Ya mac Basement Dyes �Ao Pump Required: es ❑ No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community ❑ Public X Well Distance from well sOG feet Permit valid for. XFive years Permit conditions: ❑ No expiration Authorized State Agent:: -ti Date: SEE ATTACHED SITE SKETCH The issuance of this permit by the Nealih Depar ment in na way guarantees s nco of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This The issuance of this permit by the heal ��Dpa, mi in site is subject to revo nation if the site plan, plat. or the intended use changes. The Ira anent Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of the laws and Rules for Sewage Treatment and Disposal and w conditions of this permit.. Construction Authorization (Required for Building Permit) The construction and installation requirements of Rules .1950, .1951, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accordance with the attached system layout. ISSUED TO: SG"SN MN9V5 PROPERTY LOCATION: WooTEal Lia, ,G SUBDIVISION LOT # Facility Type: 5Fo (Lajo X140 �X New ❑ Expansion ❑ Repair Basement? ❑ Yes 1< N$ Basement Fixtures? ❑ Yes ❑ No Type of Wastewater System— ` �Q T G 8 5�� e �],FovVs s n, S J3_ s i 6� (Initial) Wastewater Flow: r -O 0 GPD (See note below, if applicable ❑) Pig e{vQ~To as��. R6o S -Y 9 (Repair) Installation Requirements/Conditions Number of trenches S Septic Tank Size T 6o d gallons Exact length of each trench 45b feet Trench Spacing: cl Feet on Center Pump Tank Size 1 5 O gallons Trenches shall be installed on contour at a Soil Cover, e inches Maximum Trench Depth of: I'9 inches (Maximum soil cover shall not exceed (Trench bottoms shall be level to +/.I/4" 36' above the trench bottom) in all directions) Pump Requirements: ft. TDM vs. GPM inches below pipe Aggregate Depth: inches above pipe Conditions: inches total WATER LINES (INICLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA. NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. **If applicable: / understand the system type specified is different from the type spechfed on the app/ication. / accept the rpecii5cationr of th/r pefmit. Representative Signature: Date: This construction Authonz r �m to revocation if the site plan, plat, or the intended use changes. The construction Authorization shall not be transferred when there is a change in ownership of the site. This construction Authorization is subject to comp wi@.tAf provisions of the taws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Agent:Date: struction Authorization Expiration HTE# N-S'y' (-I() Harnett County Permit # 300 �p Department of Public Health Site Sketch PROPERTY LO(ATON: We ISSUED TO: SG M Pb v S SUBDIVISION Authorized State Agent: NS \OL\V TOLF�9allY 66r-s1L CC1 Cf CXL oto FINA'L1�-� �`"4L6SG- Sfx-%\U 0JC PN9 C QVMAP Date: 5 I 1 cI Y'4 70 1A1 LLCM pN G 00 G 1-W LOT # Department of Environment, Health and Natural Resources Division of Environmental Health On -Site Wastewater Section SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM Owner: Applicant: Address: Date Evaluated: � Proposed Facility: rci C�r0r%5 Design Flow(. 1949): �� 0 Location of Site: Property Recorded: Water Supply: ❑ Public[] Individual Well Evaluation Method[)23 g. r Boring 0P it ❑ Cut Type of Wastewater: Sewage ❑ Industrial Process Sheet: Property ID: Lot #: File #: Code: Property Size: ❑ Spring ❑ Mixed ❑ Other P R O F 1 L E # .1940 Landscape Position/ Slope% Horizon Depth (In.) SOIL MORPHOLOGY .1941 OTHER PROFILE FACTORS Profile Class & LTAR .1941 Structure/ Texture .1941 Consistence Mineralogy .1942 Soil Wetness/ Color .1943 Soil Depth (IN.) .1956 Satire Class .1944 Restr Horiz �vs � 1-C-Ss%Ia �N tJ r��'�' i W GC K3 6>1 ctL Al 16PLO 6 u Description Initial Repair System Other Factors (.1946): Systerp Site Classification (.1948): P� Available Space (.1945) VEvaluated By:i_� System Type(s)I]) I] Others Present: Site LTAR -'-�